Mbewa articular bondo olowa: chithandizo, kuchotsa

Articular mbewa - ndi kudwala omwe ndi Bony kapena thupi cartilaginous. Izi ndi mpukutu wa momasuka akuyandama bondo kapena chigongono M'mimbamo ndi chifukwa ululu. Mbewa zambiri kamakhala munakhala pakati pa mfundo zina kuposa chifukwa azunzike kwambiri. Chifukwa chikhalidwe cha maphunziro ndi khalidwe lawo kudwala ndipo dzina lake polemekeza zinthu mwadongosolo ndi anagubuduza rodent.

Mbewa mukhoza kukhala zamitundu yosiyanasiyana, kwa mbewu ting'onoting'ono mpunga lalikulu zinyalala wopanda mawonekedwe. The matenda ambiri amakhudza bondo olowa. Koma nthawi zina pamakhala milandu chigongono, m'chiuno ndi phewa m'madera a thupi. Kaya kutanthauzira wa kudwala, ndi Mulimonsemo kumafuna woyenera yake chithandizo.

Limagwirira mapangidwe

Nthawi zambiri mbewa articular anapanga chifukwa cha zoipa - kuvulala kwambiri. Pa kamenyedwe ka chichereŵechereŵe kapena fupa yopuma kuchokera chidutswa, omwe ali ndi ufulu fidget mu M'mimbamo olowa ndi amayambitsa kupweteka. Kuwonjezera Pachifukwachi, kudwala mwina chifukwa cha matenda otsatirawa: osteochondritis, deforming arthrosis, nyamakazi, matenda Koenig ndi hemarthrosis.

Chifukwa cha matenda amenewa M'mimbamo olowa amapezeka particulate kukanidwa. Iwo apanga otchedwa kapisozi, lomwe likuyenda nthawi zonse. mapangidwe uyu wa aumirira ndi yaing'ono mkulu-neglobulyarnogo mapuloteni - Ulimbo. Kenako amapeza minofu connective, n'kupanga umagawanika, monga chidutswa cha fupa.

zizindikiro

Articular mbewa ali ndi zizindikiro zimene zingawathandize kusiyanitsa ndi kudwala matenda ena. Zizindikiro zazikulu za matenda ndi:

1. kupweteka kwambiri bondo limodzi ndi immobilization ake tsankho. Izi zimachitika pamene mpukutu wa olowa lonse oletsedwa. zomverera opweteka impermanent. Zidzachitika pamene munthu wasintha udindo wa thupi.
2. Kutupa ndi kutukusira kwa bondo (chigongono). Mwa ichi amachititsa okhazikika olowa loko. Zotsatira zosautsa - kuwonongeka kwa chichereŵechereŵe ndi immobilization okwana chiwalo.
3. Kusapeza mu olowa. anthu ambiri amaonera kusapeza kuti choipa kapena kupwetekedwa mtima, ngakhale kuti akhoza anayamba chizindikiro choyamba cha mapangidwe spall.

Mbewa articular bondo olowa mwina sasonyezedwa. Zizindikiro Chitsanzo cha matenda kwina, ngati umagawanika kubisala inversion wa Kakhungu synovial.

diagnostics

Ngati munthu anadandaula ululu mwadzidzidzi bondo kapena mkono, m'pofunika kupereka thandizo. Am'derali kuwonongeka wothekera omangika mwamphamvu ndi bandeji zotanuka. Inu mukhoza kuika pa mtima ndi bondo wapadera. Kamodzi mukhoza itanani ambulansi, chomwe chidzachitike wodwala ku chipatala. Apa anakumana madokotala adzatha kukhazikitsa matenda yolondola: contusion, kuvulala, sprain kapena mbewa articular bondo.

X-ray anatsimikizira mantha a madokotala. Mothandizidwa ndi mankhwala luso katswiri adzatha duwali zomwe wa khoswe, kumene ili, ndi zina zotero. Komanso, mtima wa idzachitike kompyuta tomography. Mothandizidwa ndi dokotala amaphunzira za mmene chichereŵechereŵe ndi, meniscus, fupa. Komanso, wodwala ayenera kukumana MAGAZI: onse ndi amuzolengedwa. Nthawi zina amalangiza maphunziro osiyana immunological.

opareshoni

Kuchotsa mbewa olowa, ndiye kuti akusonyeza ku mtima. Mwatsoka, kudwala izi si amenable mankhwala ndiwofatsa. Pa opaleshoni mabuku bwanji makamaka zinthu zotsatirazi: mlingo wa kunyalanyaza matenda, mawonekedwe ake, kukula, maphunziro ndi zina zotero. Nthawi ya ntchito anatsimikiza payekha. Koma ngati articular mbewa kumabweretsa immobilization tsankho kapena wathunthu chiwalo, phukusi adzakhala inakonzedwa posachedwapa.

Opaleshoni, imene amachotsa maphunziro, wotchedwa arthrotomy. Choyamba, dokotala poyera M'mimbamo olowa, ndiye kuchotsa mbewa amagwira fupa pulasitiki ndipo chichereŵechereŵe minofu. Izi zingathandize kupewa mapindikidwe zina za olowa. Pambuyo pake, mwendo kuyenda - kukonza, zimenezi ndi miyendo n'kupuma boma.

Chithandizo pambuyo opaleshoni

Pamene articular mbewa linamasuka, wodwala ayenera kulandira chithandizo reparative:

• Kuonjezera magazi mu zowonongeka malo mankhwala "andekalin", "Angiotrofin", "Kallikrein Depot."
• Ngati pali yotupa ndondomeko, Kwalamulidwa "Gordoks" kapena "Contrycal".
• Ndi bwino kumwa mankhwala chakudya, zimakhala mu olowa, "Solkoseril", "Aktovegin" mavitamini a gulu B.
• Wodwalayo amafunika mankhwala kuthandiza kubwezeretsa yotsala ya chichereŵechereŵe articular. Mwachitsanzo, "glucosamine" kapena "chondroitin sulphate".
• Onetsetsani kuti alembe latsopano, koma kale anakwanitsa kutsimikizira lokha mankhwala abwino "Piaskledin". Ndi okwera mtengo koma bwino kwambiri kutchinjiriza chichereŵechereŵe ku chiwonongeko zina.
• M'pofunika te wa jekeseni wa asidi hyaluronic. Iye atenge mbali ya masoka olowa kondomu Choncho kwambiri kumachepetsa chopweteka kukhululukirana.

Димексидом » или « Бишофитом » . Kodi kuchita wopanda n'kumawotha mankhwala kuti kuonjezera otaya magazi kwa malo opareshoni - compresses ndi "Dimexidum" kapena "bischofite".

opaleshoni asang'ambe

Asang'ambe njira olanda amagwiritsidwa kuchotsedwa articular mbewa. Opaleshoni chithandizo akhoza kuchitika mwa arthroscopy. Njira imeneyi si yopweteka kwambiri kuposa opaleshoni ochiritsira. Medic mothandizidwa ndi chipangizo wapadera - ndi arthroscope - kupanga mabowo awiri bondo. Mu umodzi anayambitsanso njira kuwala, kuganizira uliri mkati kudzera kudwala. Pankhaniyi chithunzi ukufalitsidwa pa zenera. Una wachiwiri, dokotala amaika chida cha mpheto. Choncho, kuwonongeka kwa wodwala kochepa. Mkati mwa sabata inu mukhoza kuyamba konzanso.

mankhwala Physiotherapy

Pambuyo pa opaleshoni, wodwala ayenera kukumana angapo njira zimene salinso unaonekera mbewa articular bondo. Chithandizo ndi njira thupi mankhwala ikukhudza mwai izi:

1. Olowa kutikita.
2. Ultrasound chithandizo.
3. Matope mankhwala.
4. Kukhazikitsidwa kwa galimoto kuti: radon ndi turpentine.
5. Zimakhudzira zazikulu panopa.
6. Electrophoresis sulfure, lifiyamu ndi nthaka kubwezeretsa njira kagayidwe kachakudya mu olowa.
7. Kanasonkhezereka ndi michere amachotsa "oipa" nsalu.
8. Phonophoresis ndi analgesics zochizira kutupa.

ndondomeko izi zichitike mu chipatala kapena kuchipatala kumene kuli zipangizo zoyenerera ndipo ogwira kwambiri oyenerera.

Kuti kupereka wowerengeka madokotala?

Tikumbukire kamodzinso: kokha kupyolera opaleshoni kumatha akuyandama chichereŵechereŵe bondo olowa. mankhwala wowerengeka mankhwala adzapelekedwa okha monga mchitidwe wothandiza kapena apeze postoperative, koma osati monga mankhwala njira. Pankhaniyi, mungathe compresses pa maphikidwe amenewa:

• Supuni uchi ndi kusakaniza 3 tbsp. L. apulo cider viniga. Mafuta bwanji osakaniza olowa, ndiye ntchito thereto kabichi tsamba. Manga mwendo ndi polyethylene ndi mpango ofunda. Gwirani mpaka pepala ndi zouma. Inde - 1 month.
• Tengani supuni imodzi ya dongo wofiira ndi wabuluu. Sakanizani ufa ndi madzi kuti apange misa, omwe ndi ofanana ndi kugwirizana kwa wowawasa kirimu. Pa woyera thonje nsalu kufalitsa ndi zigawo ziwiri za dongo umagwiritsidwa ntchito olowa. Kuti mumakhala m'dera lino ndipo unachitikira kwa maola awiri.

Izi zimathandiza kuthetsa ululu ndi kusamba wapadera. Pakuti kukonzekera muyenera kuchita chimodzi ndi theka pogwiritsa masamba atitchoku. shinkuem awo finely mudzaze ndi malita 8 madzi otentha. Pamene madzi akamazizira pansi ndipo chovomerezeka kwa ndondomeko, izo mulibe mwendo moti zinkakhala m'dera kwathunthu adalowetsedwa mu msuzi. Ife tikuima theka la ora. kusamba Izi tikulimbikitsidwa kuchita kamodzi pa tsiku kwa masiku 10. Ndi njira izi otchuka adzakhala mofulumira kuchira pambuyo opaleshoni konzanso palokha ndi sabweretsa chisoni komanso zothandiza.